Community-Owned, Everyone Welcome! · Full Share of Member Equity - $150 Member Equity Installment...
Transcript of Community-Owned, Everyone Welcome! · Full Share of Member Equity - $150 Member Equity Installment...
Full Share of Member Equity - $150 Member Equity Installment Plan ($15/mo for 10 months)
Return this form with your equity payment to a
cashier or mail to: The Old Creamery, 445
Berkshire Trail, Cummington, MA 01026. Make
checks payable to: The Old Creamery Co-op
You will receive a member number card and a
welcome packet in the mail.
Name:
___________________________________
Name(s) of other adults in your household
included in this membership:
___________________________________
___________________________________
___________________________________
Mailing Address:
___________________________________
City: _______________________________
State: __________ Zip: _______________
Phone: _____________________________
Email: ______________________________
Do you want to receive our e-newsletter?
Yes ___ No ___ I already receive it _____
I accept that my rights as a Member-Owner of the
cooperative are subject to the bylaws of The Old
Creamery Co-op as they may be amended from
time to time. A current copy can be downloaded at
www.oldcreamery.coop or I can request a copy in
the store.
Signature______________________________
Date________________
Community-Owned,
Everyone Welcome!
OFFICE USE: □COPOS □CC □CARD □LETTER □PHONE
REFERRAL NAME:__________________________________